1979, 11-08 Permit: 79-7487 Mechanical FixturesPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
E. 11016 37th Street LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER
PHONE
3 Greg Eastman
5350730
ADDRESS
ZIP
Required Set Backs in Feet
E, 4025 29th. Street
99203
North South East west
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Gerald E. Kofinehl Construction
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
P. 0. BOX 14721
99216
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
Comfort En i eer'n Inc.
515,2653
5
ADDRESS
ZIP
DWL Area
Basement Area
Garage Area
Storage
S. 1012 Perry
99203
CHANGE OF USE FROM
TO
Split Entry
Split Level
Rancher
6.
TYPE
No. Baths
No. Floors
No. Rooms
Rec. Room
EW 1:1ALT. 1:1 LT. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
El BLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK
8. INSTALL FURNACE/HEAT PUMP/]DUCT'WORK FEES COLLECTED
VALUATION SourceGAS ELECTRIC WATER SEWER
Of
9, Utilities ]QX
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or cal law reg ti construction or the
performance of construction. v Plumbing
DATE ZAQI—d—OZ��SIGNATURE Mech.
SPECIAL APPROVALS SPECIAL CONDITION
0cnIm Dcr11 Plan Check
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SEPA
Mobile Home
Other (Specify)
/300
TOTAL $
WHEN MACHINE VALIDAI
7 /^/ /� D —/�,� THIS BECOMES A PERMIT.
DATE 0FFICIAL��! � �.;✓SL '��^ -
APPROVED FOR ISSUANCE
PERMIT NUMBER
7
DATE
04* *1300
* 1 3.00
* 1 300
E *000
7486
1 1 -08-79
2 6479,
IN THIS SPACE,